| La Clinica School-based Health Center Talent Middle School | |
|
102 Christian Avenue Talent OR 97540 | |
| (541) 535-1552 | |
| (541) 512-2082 |
| Full Name | La Clinica School-based Health Center Talent Middle School |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 102 Christian Avenue, Talent, Oregon |
| Authorized Official Name and Position | Traci Fossen (CHIEF QUALITY OFFICER) |
| Authorized Official Contact | 5415123912 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Clinica School-based Health Center Talent Middle School 931 Chevy Way Medford OR 97504-4127 Ph: (541) 535-6239 | La Clinica School-based Health Center Talent Middle School 102 Christian Avenue Talent OR 97540 Ph: (541) 535-1552 |
| NPI Number | 1215540398 |
|---|---|
| Provider Enumeration Date | 08/28/2020 |
| Last Update Date | 08/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215540398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
La Clinica Del Valle Family Healthcare Center Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 307 Wagner Creek Road, Talent, OR 97540 Phone: 541-535-1531 Fax: 541-512-2082 |